Alete S Arom, PSY.D.

Individual provider Active NPI Clinical Psychologist · Beverly Hills, CA

NPI 1225121981 · NPPES record last updated Oct 19, 2011

Key facts

NPI
1225121981
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY21,011 (CA)
Practice address
9171 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5530
Phone
(310) 859-8255
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PSY21,011CAMDClinical Psychologist
21011CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. Current
since Jul 26, 2011
Accepting new patients
Mission City Community Network, Inc. Current
since Jul 26, 2011
Accepting new patients
Mark T. Gmoser, Psy.D., a Psychological Corporation Past Accepting new patients

Locations

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

15206 Parthenia St
Sepulveda, CA 91343

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21,011 CA Yes

Addresses

Primary practice location

9171 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5530

Mailing address

9171 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5530
Phone (310) 859-8255

Other providers in Beverly Hills, CA

All providers in Beverly Hills, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.